he student ever been e,pelled from school? 0 0 2. Has the student ever had an arrest resulting in a charge? 0 0 3. Has the student ever had any Juvenile Justice actions? (31) CUSTODY STATUS OF STUDENT (check one) • Mother 0 Father El Shared Custody 0 Other MN Is there a court order barring either paren

40 STUDENT LEGAL NAME MN Rat middle) 9. Disclosures for entry into Palm Beach County School District (check all that apply) O The student has had Juvenile Justice actions taken against him/her. 0 The student has been expelled from School O The student has been arrested resulting in a charge. Ef Not applicable

93 STUDENT LEGAL NAME MN Rat middle) 9. Disclosures for entry into Palm Beach County School District (check all that apply) O The student has had Juvenile Justice actions taken against him/her. 0 The student has been expelled from school O The student has been arrested resulting in a charge. ErNot applicable